NSG-301 quiz 3 (94%)
Which statement made by a child indicates they are functioning at the concrete operations level of Piaget's theory?
"I'll be careful with her book because she'd be sad if it got torn."
A mother whose infant is diagnosed with failure to thrive (FTT) asks the nurse what causes this condition and how it is treated. What is the nurse's best response?
"Most often, FTT has a psychosocial rather than congenital physical cause."
A 4-year-old has broken his leg and is fitted with a full leg cast that impairs his mobility greatly. At a follow-up visit, the mother expresses concern that he has "started wetting the bed again." What response should the nurse provide the mother to address her concerns?
"a child's behavior may regress to an earlier stage of development during an acute illness."
What is considered to be a normal attention span for a toddler?
5 to 10 minutes.
The nurse observes that an infant continuously smiles, babbles, follows light and reacts to the noises in the environment. Based on this information, the nurse concludes that the child is approximately how old?
8 weeks.
A 4-year-old child is postoperative following surgery to repair a cleft lip (cheiloplasty). Which interventions should be performed immediately after surgery?
A) apply an elbow restraint. C) monitor the child for cyanosis.
Based on age, what should the nurse teach the mother of a 3 month old regarding the cognitive development of her child? (SATA)
A) laughs, squeals, and looks at objects for several seconds, and reaches for and grasps objects. B) develops social smile, responds to pleasurable interactions, such as looking at the mother's face.
A nurse is teaching new parents about the causes of sudden unexpected infant death (SUID) and sudden infant death syndrome (SIDS) and interventions to help prevent these deaths. Which information about SUID and SIDS is accurate? (SATA)
B) SIDS has been linked to sleeping in a prone position. C) one theory links SIDS to malfunctioning brainstem causing faulty respirations. D) SUID can be caused by metabolic disorders.
The family consists of an infant, school-aged child, teenager, mother, and father and an uncle. Which individual in this family exerts the most lasting influence on the ongoing development of the infant? (SATA)
C) father. D) mother.
Which child has been diagnosed with a disease that requires Contact Precautions?
a preschooler with rubella.
Which form of leukemia is the most commonly diagnosed in children under 15 years of age?
acute lymphoid leukemia (ALL).
A nurse is explaining cognitive development in children to a client, with the help of Piaget's theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development?
after age 12, children can think in the abstract including complex problem-solving.
Two cases of lice are identified. Which intervention should the school nurse implement to prevent the spread of pediculosis to the entire class?
ask students not to share their hats or combs.
A 3-month-old infant is diagnosed with spina bifida. Which information should be included in parent teaching?
avoid rubber toys.
What are the normal cognitive and motor development expectations that should be observed by a nurse in a 4-year-old child?
can state their full name and age.
When discussing the growth and development of an infant with a client, the nurse refers to various theories and phases of development. The nurse is reviewing the major points of Erikson's theory of development with a client. What explanation of this theory should the nurse provide?
cognitive development is cumulative; that is, what is learned is based on what has been known before.
Which diagnostic finding supports a diagnosis of rheumatic fever?
elevated erythrocyte sedimentation rate (ESR).
A nurse discussing feeding practices with the mother of an infant learns that she regularly feeds the child by propping the bottle on a blanket in the crib. Based on this information, which assessment should the nurse perform on the child?
erosion of tooth enamel on the child's primary or baby teeth.
Which is typically the first immunization received by a newborn?
hepatitis B.
Which statement is accurate regarding red measles?
it is transmitted through direct contact.
A nurse is examining an infant of Asian descent who presents with irregular dark, blue-green areas generally found on the lower back. The shapes have regular edges. What condition does the nurse suspect?
mongolian spots.
The nurse is caring for a child who has a fractured femur. On examination, the nurse notices other bruises and wounds in varying stages of healing and suspects child abuse. What is the appropriate nursing intervention in this situation?
notify the appropriate authorities.
A 7-year-old child is diagnosed with chickenpox. Which eruption is the first to be seen in chickenpox?
papules.
A nurse is performing a physical assessment on a 3-year-old boy. The mother answers "no" when asked if the child is up to date with vaccinations. The child presents with slight fever and spasms of coughing that make a "whooping" sound. The mother said that occasionally the child vomits after coughing so hard. What disease would the nurse suspect?
pertussis.
When considering human growth and development, what example describes proximodistal direction movements?
rolling over before grasping objects.
A mother has just delivered her first baby and asks the nurse about routines at home. Based on this question, what information should the nurse provide the new mother about establishing routines with an infant?
routines establish trust along with learning to expect.
A mother asks the nurse what is the first solid food that she should give her infant. What food should the nurse suggest the mother introduce first?
small amounts of iron-fortified cereal.
When asked about playing, the parents of a 3-year-old share that he plays with his toys in the same area as other children but never interacts with them. Nurse documents that the child engages in what form of play?
solitary play.
A mother brings her 9-year-old daughter to the community health clinic for a sore throat that began several days ago. The child reports a "lump" in her throat and "soreness all over her body." On examination, the nurse documents "white patches on the tonsils." What disease would the nurse suspect?
strep.
When discussing the concrete operations stage of development, which example of childhood behavior should the nurse present?
the ability to understand the concepts of weight and volume.
While collecting data from the parents of a 2-year-old child, the child starts to cry, scream, and lashes out every time the nurse tries to pick up the child from the mother's arms. During a physical assessment a 2-year-old screams and lashes out each time the nurse attempts to move the child from the mother's arms to the examine table. Based on this observation, what conclusion should the nurse make about this child's emotional development?
the nurse recognizes that the child is displaying normal toddler development.
A child who ingested a poison is treated with gastric lavage. What factor will determine whether the client is then admitted to the hospital?
time between ingestion of poison and lavage.
A child presents in the ER with symptoms of Reye syndrome. Which is a suspected etiology of this disease?
use of aspirin during viral illness.
A child of European descent is diagnosed with celiac disease. What food should the parents be instructed to remove from their child's diet?
whole wheat bread.
A 2-year-old child who has frequent attacks of diarrhea is diagnosed to be lactose intolerant. Which food item should be avoided in the client's regular diet plan?
yogurt.
